Indian Journal of Plastic Surgery
An open access publication of Association of Plastic Surgeons of India
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EDITORIAL
Year : 2007  |  Volume : 40  |  Issue : 12  |  Page : 1
 

Editorial


Division of Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi - 682026, India

Correspondence Address:
Subramania Iyer
Division of Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi - 682026
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Iyer S. Editorial. Indian J Plast Surg 2007;40, Suppl S1:1

How to cite this URL:
Iyer S. Editorial. Indian J Plast Surg [serial online] 2007 [cited 2019 Jul 16];40, Suppl S1:1. Available from: http://www.ijps.org/text.asp?2007/40/12/1/36851


Significant advances have occurred in the management of advanced cancers in the past two decades. Apart from improving the survival rate, the current therapy emphasises on preservation or restoration of form and function, thereby providing better quality of life for the patient. In this aspect the most important contribution has come from the reconstructive surgeon helped by the advances that have occurred in this field. Better understanding of skin perfusion, development of new flaps, and widespread use of microvascular surgery have made the role of reconstructive surgery more effective and applicable. The Reconstructive surgeon has been found to be an essential and invaluable member in the team planning and implementing the treatment especially while dealing with cancers in their advanced stages.

Evolution of cancer reconstructive surgery closely parallels the evolution of general plastic surgery techniques. In the era of tubed pedicled flaps, reconstruction following cancer treatment was time consuming and unreliable making primary reconstruction was considered as an impossible target to achieve. The advent of forehead, deltopectoral and more significantly the pectoralis major myocutaneous flaps made revolutionary changes in the management of head and neck cancers. They permitted reliable closure of big defects and allowed primary reconstruction. The next big change in cancer reconstructive surgery occurred with the advent of microvascular free flaps, which made it possible to reconstruct defects using matching composite tissue that too unhindered by the movement restriction caused by the pedicle.

The role of reconstructive surgery is important in the management of most of the solid tumours arising in the body, probably except the intracranial and intra abdominal lesions. But the chief application is in managing the cancers arising in various head and neck subsites and hence major part of this issue is devoted to head and neck reconstruction. Radiation and chemotherapy have become increasingly used in the management of these cancers adding problems to the surgical oncologist and the reconstructive surgeon. Hence two chapters exclusively deal with aspects related to radiation therapy. The management of cancers of the breast, thoracoabdominal wall and perineum also needs significant inputs from the reconstructive surgeon, which has been dealt separately. Less input is required from the reconstructive surgeon for the management of limb and bone tumors, but to make the issue comprehensive a chapter on limb conservation and salvage has also been included. The authors have been chosen who are well-experienced leaders in their field.

It has been a great honour to be asked to be the guest editor for this issue. I thank Dr. Mukund Thatte for entrusting the responsibility on me and his constant support and suggestions, without which this task would have been impossible.




 

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